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- Title
Strategic Approach to Massive Chylous Leakage after Neck Dissection.
- Authors
Chang, Geng-He; Lee, Chih-Yao; Tsai, Yao-Te; Fang, Chi-Cheng; Fang, Ku-Hao; Tsai, Ming-Shao; Hsu, Cheng-Ming; Luan, Chih-Wei; Chang, Chang-Cheng
- Abstract
(1) Background: A high volume of chylous leakage (>1 L/day) is a potentially lethal complication after neck dissection. However, a strategic treatment for when the leakage progresses from high to massive (>4 L/day) is lacking. (2) Methods: The PubMed database was searched for articles on neck dissection–associated chylous leakage. Nine articles that included 14 cases with >1 L/day chylous leakage (CL) were analyzed. (3) Results: Of the nine patients with 1–4 L/day CL, three were successfully managed with conservative treatment, two with thoracic ductal ligation, three with ductal embolization, and one with local repair with a strap muscle flap. Of the remaining five cases with >4 L/day chylous leakage, three were successfully treated with the pectoralis major myocutaneous flap (PMMF) and one was successfully treated with thoracic ductal ligation and one case died. (4) Conclusions: In this review, when leakage was >4 L/day, the aforementioned interventions were ineffective, but applying the PMMF could rescue the intractable complication. We propose a strategic treatment for high (1–4 L/day) and massive (>4 L/day) chylous leakage.
- Subjects
NECK dissection; TREATMENT effectiveness; CONSERVATIVE treatment; LEAKAGE; MUSCULOCUTANEOUS flaps
- Publication
Healthcare (2227-9032), 2021, Vol 9, Issue 4, p379
- ISSN
2227-9032
- Publication type
Article
- DOI
10.3390/healthcare9040379